Anthony O Amiewalan MD, SC
Anthony O Amiewalan MD, SC is a Legal Medicine in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
- Specialties on file
- 3
Practice location Address checks out
2965 N Main St Ste ADecatur, IL 62526-4397
Phone: (217) 422-0560
Fax: (217) 422-0872
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Legal Medicine (primary) | Taxonomy 173000000X · Licence 036112019 (IL) |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X |
| Health Service Clinic/Center | Taxonomy 261QH0100X |
Record details
| NPI number | 1053543215 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anthony Amiewalan — Doctor · (217) 422-0560 |
| Other names | Anthony O Amiewalan Md Sc; Anthony O Amiewalan Md Sc |
| NPI enumerated | August 20, 2009 |
| Last updated in NPPES | March 27, 2025 |
| Certification date | March 24, 2025 |
| Mailing address | 2665 North Main Street, Suite A, Decatur, IL 62526-3803 |
Other providers in Decatur
-
Macon County Medical Associates, PC
2981 N Main St, Decatur, IL 62526-3259 · (217) 877-9775
-
Progressive Family Health
1110 Arbor Dr Ste D, Decatur, IL 62526-9285 · (217) 875-9995